Purpose
With little scientific evidence to support use of aromatherapy for postoperative nausea
and/or vomiting (PONV) symptoms, this study evaluated controlled breathing with peppermint
aromatherapy (AR) and controllled breathing alone (CB) for PONV relief.
Design
A single blind randomized control trial design was used.
Methods
On initial PONV complaint, symptomatic subjects received either CB (n = 16) or AR
(n = 26) intervention based on randomization at enrollment. A second treatment was
repeated at 5 minutes if indicated. Final assessment occurred 10 minutes post initial
treatment. Rescue medication was offered for persistent symptoms.
Findings
Among eligible subjects, PONV incidence was 21.4% (42/196). Gender was the only risk
factor contributing to PONV symptoms (P = .0024). Though not statistically significant, CB was more efficacious than AR,
62.5% versus 57.7%, respectively.
Conclusions
CB can be initiated without delay as an alternative to prescribed antiemetics. Data
also support use of peppermint AR in conjunction with CB for PONV relief.
Keywords
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Biography
Debra S. Sites, MHA, BSN, RN, is a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC
Biography
Nancy T. Johnson, BSN, RN, formerly was a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC
Biography
Jacqueline A. Miller, MSN, RN, NE-BC, is a Director for Day Surgery/PACU, Catawba Valley Medical Center, Hickory, NC
Biography
Pauline H. Torbush, RN, CAPA, is a Day Surgery Staff Nurse, Catawba Valley Medical Center, Hickory, NC
Biography
Janis S. Hardin, BSN, RN, CPAN, is a PACU Staff Nurse, Catawba Valley Medical Center, Hickory, NC
Biography
Susan S. Knowles, MSN, RN-BC, is a Clinical Nurse Manager, Gaston Memorial Hospital, Gastonia, NC
Biography
Jennifer Nance, BSN, RN, is Director of Alexander County Home Health, Alexander County Home Health, Taylorsville, NC
Biography
Tara H. Fox, MSN, CRNA, is a Staff Nurse Anesthetist, Catawba Valley Medical Center, Hickory, NC
Biography
Rebecca Creech Tart, PhD, is the Director for Research and Evidence-Based Practice, Catawba Valley Medical Center, Hickory, NC
Article Info
Footnotes
The Magnet Recognition Program is a registered trademark of the American Nurses Credentialing Center, Silver Spring, MD.
Conflict of interest: None to report.
Identification
Copyright
© 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

